Ingabe nawe unezinkinga ezifana nokujikeleza kokuya esikhathini okungajwayelekile kanye nokopha kakhulu izinsuku eziningana? Noma usaphuma igazi ngemva kokuya esikhathini? Kuvamile ukuthi uzizwe wesaba futhi ukhathazekile ngenxa yezinto ezinjengalezi. Uma uya kudokotela ngesikhathi esinjengalesi, bese ekutshela ukuthi udinga ukwenza i-"Endometrial Biopsy", unemibuzo eminingi efika engqondweni yakho, akunjalo? "Kuyini? Ingabe kuzokulimaza? Ingabe ukuhlinzwa okukhulu?" Izinto eziningi ezinjengalezi zifika engqondweni. Ngakho-ke namuhla sikhuluma ngendaba yangempela ngemuva kwaleli gama elikwethusayo.
Kalula nje, kuyini i-endometrial biopsy?
Lokhu akuyona into enkulu njengoba ungase ucabange. Kalula nje, kuhilela ukuthatha ingxenye encane kakhulu yezicubu olwelwesini lwesibeletho sakho (esilubiza ngezokwelapha ngokuthi i-endometrium) bese siluhlola ngaphansi kwe-microscope. Njengalapho sithatha ingubo, udokotela uhlola amanye amangqamuzana angaphakathi kwesibeletho.
Lokhu kuhlolwa kungakusiza ukuthola ukuthi yini ngempela ebangela izimpawu zakho. Kungabheka namaseli angajwayelekile, amangqamuzana angaba nomdlavuza, noma izifo. Ingxenye engcono kakhulu ukuthi yonke inqubo ithatha imizuzu engaphansi kwengu-15 futhi ingenziwa ehhovisi likadokotela (ngaphandle kwesiguli). Yebo, ungase uzizwe ubuhlungu obuncane, njengokuya esikhathini. Kodwa lokho kungokwesikhashana.
Yiziphi izizathu udokotela angancoma lolu vivinyo?
Udokotela wakho uvame ukuncoma lokhu kuhlolwa ukuze ahlole izimpawu ezithile. Kungenziwa futhi ukuqinisekisa okuthile okubonile ku-ultrasound scan noma ku-Pap smear.
Nazi izimo lapho i-biopsy ye-endometrial kungenzeka kakhulu ukuthi yenziwe:
| Izimpawu noma isimo | Incazelo elula |
|---|---|
| Ukuya esikhathini okungajwayelekile | Lokhu kufaka phakathi izinto ezifana nokopha ngokweqile izinsuku eziningi, ukungabi nesikhathi izinyanga eziningi, kanye nokopha phakathi kokuya esikhathini. |
| Ukopha ngemva kokunqamuka kokuya esikhathini | Uma uphinda uzwa ukopha ngemva kokuba isikhathi sakho sesiphelile ngokuphelele (ukunqamuka kokuya esikhathini), ngokuqinisekile kuyinto okufanele uyihlole. |
| Ukopha ngesikhathi sokwelashwa ngama-hormone | Uma uzwa ukopha okungajwayelekile ngenkathi uthatha imithi yama-hormone njenge-Tamoxifen , ukwelashwa komdlavuza. |
| Ukuqina kodonga lwesibeletho | Uma ukuhlolwa kukhombisa ukuthi ulwelwesi lwangaphakathi lwesibeletho sakho (i-endometrium) lujiyile kunokuvamile. |
| Umbiko wokuhlolwa kwe-Pap okungavamile | Uma ukuhlolwa kwakho kwe-Pap kubonisa amangqamuzana angajwayelekile emlonyeni wakho wesibeletho. |
Lolu uhlobo lokuhlola olunembile kakhulu nolwenziwa njalo lokuthola umdlavuza we-endometrial, ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengu-35.
Lokhu kuhlolwa ngezinye izikhathi kusetshenziselwa ukuhlola izinkinga ngolwelwesi lwesibeletho kumuntu onenkinga yokukhulelwa. Kodwa khumbula, lokhu kuhlolwa akukwazi ukwenziwa uma ukhulelwe.
Kulungile, ngakho-ke ukwenza kanjani lokhu? Ingabe kufanele wesabe?
Ungesabi nhlobo. Ake sixoxe ngokuthi lokhu kwenzeka kanjani isinyathelo ngesinyathelo. Khona-ke uzobe usukuqonda kangcono lokhu.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Akukho okuningi okufanele ukulungiselele. Kodwa qaphela lezi zinto:
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo). Ungase ucelwe ukuthi uyeke ukuthatha eminye imithi (ikakhulukazi imithi yokunciphisa igazi) ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Qiniseka ukuthi uyasazisa nganoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
- Ukuze unciphise ubuhlungu, udokotela wakho angase akuncome ukuthi uthathe umuthi wokunciphisa ubuhlungu (NSAID) njenge -ibuprofen cishe ihora ngaphambi kokuhlolwa.
- Ngezinye izikhathi, unganikwa umuthi wokuthambisa umlomo wesibeletho ezinsukwini ezimbili ngaphambi kwenqubo.
Buza udokotela wakho noma yimiphi imibuzo onayo ngalokhu kusengaphambili. Kuzokusiza kakhulu ukunqoba ukwesaba kwakho.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuvame ukwenzeka ehhovisi likadokotela wakho, ngaphandle kokusebenzisa i-anesthesia.
1. Okokuqala, uzocelwa ukuthi ukhumule izingubo zakho kusukela okhalweni kuye phansi bese uzimboza ngengubo.
2. Ngemuva kwalokho, njenge-Pap smear, uzolala etafuleni lokuhlolwa izinyawo zakho zifakwe ama-stirrups akhethekile.
3. Udokotela uzofaka idivayisi ebizwa ngokuthi i-speculum esithweni sakho sangasese sowesifazane bese eyibamba ivulekile ukuze ukwazi ukubona umlomo wesibeletho sakho. Lokhu kwenziwa nangesikhathi sokuhlolwa kwe-Pap smear.
4. Ngemva kwalokho, umlomo wesibeletho uhlanzwa ngoketshezi olukhethekile.
5. Ngezinye izikhathi enye idivayisi encane ebizwa ngokuthi i-tenaculum ingasetshenziswa ukubamba umlomo wesibeletho. Abanye abantu bazwa ubuhlungu obukhulu phakathi nalesi sinyathelo.
6. Ekugcineni, udokotela uzofaka ipayipi elincane kakhulu, eliguquguqukayo elidlula emlonyeni wesibeletho liye esibelethweni bese esebenzisa indlela yokumunca ukuze asuse isampula encane yezicubu ze-endometrial. Ungase uzizwe umuzwa omncane wokudonsa esiswini sakho ngalesi sikhathi.
7. Isampula yezicubu ithunyelwa elabhorethri, lapho isazi sezifo siyihlola khona ngaphansi kwe-microscope bese sibhala umbiko.
Lonke lolu hlelo luthatha imizuzu emi-5 kuya kweyi-15 kuphela.
Yini ongayilindela ngemva kokuhlolwa?
Ngemva kokususwa kwemishini, ungagqoka ngendlela evamile. Ngemva kokuphumula isikhashana, ungashayela imoto uye ekhaya wedwa.
Nakekela lezi zinto ngemva kokubuyela ekhaya:
Kujwayelekile ngokuphelele ukuba nobuhlungu besisu kanye nokopha okuthile kwesitho sangasese sowesifazane izinsuku ezimbalwa ngemva kokuhlolwa. Ungakhathazeki ngakho.
| Izinto okufanele zenziwe (Okufanele Uzenze) | Okungafanele ukwenze |
|---|---|
| Sebenzisa ama-sanitary pad ukuze ukhiphe igazi. | Ungasebenzisi ama-tampon okungenani isonto lonke. |
| Uma unesifo sesisu, thatha umuthi wokuqeda ubuhlungu njenge-paracetamol noma i-ibuprofen. | Ungayi ocansini kuze kube yilapho udokotela wakho ekuyala (ngokuvamile izinsuku ezingu-7). |
| Phumula kahle. | Gwema ukuphakamisa izinto ezisindayo, ukuzivocavoca okunzima, ukubhukuda, nokucwilisa ebhavini elishisayo izinsuku ezimbalwa. |
| Landela imiyalelo kadokotela wakho ngqo. | Gwema ukusula isitho sangasese sowesifazane ngokuphelele (lokhu kuyinto okungafanele uyenze). |
Ngokuvamile uzozizwa ungcono kakhulu zingakapheli izinsuku ezimbili kuya kwezintathu.
Ingabe kukhona imiphumela emibi kanye nezingozi?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu. Kodwa lezi azivamile.
- Ukutheleleka.
- Ukopha okukhulu.
- Ubuhlungu besisu kanye nokopha okuncane izinsuku ezimbalwa.
- Ukubhoboka noma ukudabuka kwesibeletho noma umlomo wesibeletho ( lokhu akuvamile kakhulu ).
Isikhathi sokufonela udokotela ngokushesha
Uma uhlangabezana nalezi zimpawu, shayela udokotela wakho ngokushesha.
- Ubuhlungu obukhulu besisu obuhlala izinsuku ezingaphezu kwezimbili noma ezintathu .
- Uma ukopha kuqhubeka izinsuku ezingaphezu kwezintathu noma uma ukopha kukhulu kangangokuthi kumanzisa i-sanitary pad njalo emahoreni amabili.
- Izimpawu ezifana nomkhuhlane kanye nokubanda.
- Ukuphuma koketshezi olunuka kabi esithweni sangasese sowesifazane.
Uthini umbiko wophenyo?
Ngokuvamile uzothola umbiko zingakapheli isonto.
- Uma imiphumela ijwayelekile: Lokhu kusho ukuthi awekho amaseli angajwayelekile atholakale ezicutshini zesibeletho sakho.
- Uma imiphumela ingajwayelekile: Lokhu kusho ukuthi kutholakale uhlobo olungavamile lweseli. Kungaba nezizathu eziningana zalokhu. Ukuthi nje "akujwayelekile" akusho ukuthi umdlavuza.
Izinto ezingabangela umphumela ongajwayelekile:
- Ukukhula okuncane esibelethweni (ama-polyps esibeletho noma ama-fibroids).
- Ukutheleleka kodonga lwangaphakathi lwesibeletho.
- Ukungalingani kwama-hormone.
- Umdlavuza we-endometrial.
Ngezinye izikhathi, uma isampula yezicubu inganele, umphumela ungase "ungacaci." Ezimweni ezinjalo, udokotela wakho angenza i-D&C (Dilation and Curettage), ehilela ukuthatha ingxenye enkulu yezicubu bese eyihlola.Kunconywa ukwenza inqubo elandelayo.
Into ebaluleke kakhulu, kungakhathaliseki ukuthi umphumela wombiko wakho uyini, ukuxoxa ngawo ngokucacile nodokotela wakho bese unquma ukuthi yini ozoyenza ngokulandelayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Endometrial Biopsy iyindlela ebaluleke kakhulu, ephephile, futhi esheshayo yokuthola imbangela yezinkinga ezifana nokopha okungajwayelekile kwesibeletho.
- Ubuhlungu obuzwayo phakathi nalesi sikhathi buvame ukuba besikhashana, njengobuhlungu besisu ngesikhathi sokuya esikhathini. Ungesabi.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokuhlolwa.
- Uma umphumela wokuhlolwa "ungavamile," akusho njalo ukuthi unesifo somdlavuza. Udokotela wakho uzokuqondisa ngezinyathelo ezilandelayo okufanele uzithathe.
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Kuyilungelo lakho.
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